Grand Rapids Applied Kinesiology and Sports Chiropractic

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

3644880 Issued in MI

Legal business name

GRAND RAPIDS APPLIED KINESIOLOGY AND SPORTS CHIROPRACTIC

Practice address

3835 28TH St SE
Ste 102
Grand Rapids, MI 49512-1876

Phone

(616) 916-4767

NPI assigned

Nov 5, 2014

Last updated

Nov 5, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shane Pluger

Title

Chiropractor

Phone

(616) 916-4767

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1972909794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 28TH ST SE",
            "address_2": "STE 102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495121876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 28TH ST SE",
            "address_2": "STE 102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495121876",
            "telephone_number": "616-916-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RAPIDS APPLIED KINESIOLOGY AND SPORTS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "PLUGER",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "616-916-4767",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MI",
            "license": "3644880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Health Maintenance Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.